HESI: Dosage Calculations Assignment
Quiz
Heparin protocol is prescribed for a client weighing 90 kg. Per protocol, the
heparin loading dose is 60 units/kg IV rounded to the nearest 100 units, with a
maximum loading dose of 4,000 units. The heparin vial is labeled 5,000
units/ml. How many ml should the nurse administer? (Enter the numeric value
only. If rounding is required, round to the nearest tenth.)
false Item 51164 By Sheila Duncan Heparin Protocol:
Heparin loading dose: 60 units/kg IV, rounded to the nearest 100 units,
followed by a maintenance infusion of 12 units/kg/hr, rounded to the nearest
100 units/hr. The maximum bolus is 4,000 units and the maximum initial
infusion is 1000 units/hr.
Determine the client loading dose: 60 units x 90 kg = 5,400 unit.
Per protocol, use the maximum loading dose of 4,000 units, and calculate the
client's dose using the formula D/H x Q = 4,000 units / 5,000 units x 1 ml = 4/5
= 0.8 ml
or Use ratio and proportion: 5,000 : 1 ml :: 4,000 : X
X = 0.8 ml
A child weighing 28.4 kg is in hypertensive crisis. The healthcare provider
prescibes methyldopa (Aldomet) 40 mg/kg/day IV in 4 divided doses. The
pharmacy provides a 50 mg/ml injection vial. How many ml should the nurse
administer? (Enter numeric value only. If rounding is required, round to the
nearest tenth.)
First calculate the total mg dose/day: 40 mg x 28.4 kg = 1136 mg/day
Next divide the total mg into the 4 dosages for the day: 1136 mg/4 doses =
284 mg/dose
Using the Desired/Have formula: 284 mg/50mg x 1 ml = 5.68 ml/ dose,
rounded to 5.7 ml.
A client with multiple sclerosis and muscle spasms receives a prescription for
baclofen (Kemstro) 30 mg PO daily. The medication is supplied from the
pharmacy in 20 mg scored tablets. How many tablets should the nurse
administer? (Enter numeric value only. If rounding is required, round to the
nearest tenth.)
, Use ratio and proportion, 30 mg : X tablets = 20 mg : 1 tablet
20X = 30
X = 1.5
A client with dehydration receives a prescription for an IV of Lactated Ringer's
1,000 ml to be administered over 8 hours. The nurse should program the
infusion pump to deliver how many ml/hour? (Enter numeric value only, using
whole number.)
Use the ratio of: 1000 ml : 8 hours :: X : 1 hour
1000/X :: 8/1
X = 125 ml/hour
The nurse plans to administer labetalol hydrochloride (Trandate) 0.3 grams
PO to a client with hypertension. Trandate is available in 200 mg scored
tablets. How many tablets should the nurse administer? (Enter numeric value
only.)
First convert grams to milligrams using the known conversion: 1 gram = 1000
mg.
0.1 gram = 100 mg as 0.3 gram = 300 mg
Next using the formula, Desired/Available x 1 tablet =
300 mg/200 mg x 1 = 1.5 tablets
A 110-pound, adult female is admitted to the Emergency Center after receiving
burns to 40 percent of her body. Using the Parkland formula, the client's fluid
requirements for the first 24 hours after injury is calculated using Lactated
Ringer's 4 ml solution x Body weight (in kilograms) x Percent burn. The client
should receive one-half of the 24-hour calculated fluid volume in the first 8
hours of treatment. The nurse should set the infusion pump to deliver how
many ml/hour during the first 8 hours? (Enter the numerical value only. If
rounding is required, round to the nearest whole number.)
Using the Parkland formula, the client's fluid requirements for the first 24 hours
after injury is calculated using 4 ml lactated Ringer's solution x Body weight (in
kilograms) x Percent burn
Convert 110 pounds to kg = .2 = 50 kg
4 ml x 50 kg x 40 = 8,000 ml
One-half in first 8 hours = 4,000 ml
4,000 ml / 8 hours = 500 = 500 ml/hour
Quiz
Heparin protocol is prescribed for a client weighing 90 kg. Per protocol, the
heparin loading dose is 60 units/kg IV rounded to the nearest 100 units, with a
maximum loading dose of 4,000 units. The heparin vial is labeled 5,000
units/ml. How many ml should the nurse administer? (Enter the numeric value
only. If rounding is required, round to the nearest tenth.)
false Item 51164 By Sheila Duncan Heparin Protocol:
Heparin loading dose: 60 units/kg IV, rounded to the nearest 100 units,
followed by a maintenance infusion of 12 units/kg/hr, rounded to the nearest
100 units/hr. The maximum bolus is 4,000 units and the maximum initial
infusion is 1000 units/hr.
Determine the client loading dose: 60 units x 90 kg = 5,400 unit.
Per protocol, use the maximum loading dose of 4,000 units, and calculate the
client's dose using the formula D/H x Q = 4,000 units / 5,000 units x 1 ml = 4/5
= 0.8 ml
or Use ratio and proportion: 5,000 : 1 ml :: 4,000 : X
X = 0.8 ml
A child weighing 28.4 kg is in hypertensive crisis. The healthcare provider
prescibes methyldopa (Aldomet) 40 mg/kg/day IV in 4 divided doses. The
pharmacy provides a 50 mg/ml injection vial. How many ml should the nurse
administer? (Enter numeric value only. If rounding is required, round to the
nearest tenth.)
First calculate the total mg dose/day: 40 mg x 28.4 kg = 1136 mg/day
Next divide the total mg into the 4 dosages for the day: 1136 mg/4 doses =
284 mg/dose
Using the Desired/Have formula: 284 mg/50mg x 1 ml = 5.68 ml/ dose,
rounded to 5.7 ml.
A client with multiple sclerosis and muscle spasms receives a prescription for
baclofen (Kemstro) 30 mg PO daily. The medication is supplied from the
pharmacy in 20 mg scored tablets. How many tablets should the nurse
administer? (Enter numeric value only. If rounding is required, round to the
nearest tenth.)
, Use ratio and proportion, 30 mg : X tablets = 20 mg : 1 tablet
20X = 30
X = 1.5
A client with dehydration receives a prescription for an IV of Lactated Ringer's
1,000 ml to be administered over 8 hours. The nurse should program the
infusion pump to deliver how many ml/hour? (Enter numeric value only, using
whole number.)
Use the ratio of: 1000 ml : 8 hours :: X : 1 hour
1000/X :: 8/1
X = 125 ml/hour
The nurse plans to administer labetalol hydrochloride (Trandate) 0.3 grams
PO to a client with hypertension. Trandate is available in 200 mg scored
tablets. How many tablets should the nurse administer? (Enter numeric value
only.)
First convert grams to milligrams using the known conversion: 1 gram = 1000
mg.
0.1 gram = 100 mg as 0.3 gram = 300 mg
Next using the formula, Desired/Available x 1 tablet =
300 mg/200 mg x 1 = 1.5 tablets
A 110-pound, adult female is admitted to the Emergency Center after receiving
burns to 40 percent of her body. Using the Parkland formula, the client's fluid
requirements for the first 24 hours after injury is calculated using Lactated
Ringer's 4 ml solution x Body weight (in kilograms) x Percent burn. The client
should receive one-half of the 24-hour calculated fluid volume in the first 8
hours of treatment. The nurse should set the infusion pump to deliver how
many ml/hour during the first 8 hours? (Enter the numerical value only. If
rounding is required, round to the nearest whole number.)
Using the Parkland formula, the client's fluid requirements for the first 24 hours
after injury is calculated using 4 ml lactated Ringer's solution x Body weight (in
kilograms) x Percent burn
Convert 110 pounds to kg = .2 = 50 kg
4 ml x 50 kg x 40 = 8,000 ml
One-half in first 8 hours = 4,000 ml
4,000 ml / 8 hours = 500 = 500 ml/hour
